Factores de riesgo de amputación en pacientes con pie diabético en el Hospital Federico Bolaños Moreira IESS Milagro
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Trabajo investigativo realizado en pacientes diagnosticados con pie diabético y que fueron ingresados para amputación en el servicio de Cirugía del Hospital “Federico Bolaños Moreira” IESS Milagro del 2012 al 2014.
Objetivo: Determinar y evaluar los factores de riesgo clínico-epidemiológicos que se asocian a amputación del miembro inferior por pie diabético.
Métodos: Estudio transversal, descriptivo, correlacional, restrospectivo, basado en la recolección de información de historias clínicas.
Resultados: Se encontró 111 casos a los que se le realizó por lo menos una amputación. Del total de pacientes intervenidos 76,57% (n= 85) correspondieron al sexo masculino, 23,4% (n=26) al sexo femenino, para una relación hombre mujer de 3,3:1. El promedio de edad observado fue de 61,99 años (DE: ±9.05 años). El factor de riesgo más común en la población de amputados fue la HTA (64,86%). La tasa de mortalidad en pacientes amputados fue de 7,2%.
Conclusiones: El tiempo de evolución de la hiperglicemia así como los factores neuropáticos y vasculares predisponentes a la formación de úlceras recurrentes se correlacionaron directa y significativamente con la probabilidad de amputación.
Palabras clave: Diabetes mellitus, pie diabético, amputación, factores de riesgo para amputación, úlceras del pie diabético
Research work carried out in patients diagnosed with diabetic admitted for amputation in the service of Surgery at "Federico Bolaños Moreira" Hospital IESS Milagro from 2012 until 2014. Aims: To determine and evaluate clinical and epidemiological factors that are associated with risk of amputation. Material and Methods: transversal, descriptive, and correlational study, based on the collection of information from medical records. Results: 111 cases that underwent amputation at least once. 76.57% (n = 85) were males, 23.4% (n = 26) were female, resulting in a male female ratio of 3.3: 1. The average age was 61.99 years (SD ± 9.05 years). The most common risk factor in the population of amputees was hypertension (64.86%). The mortality rate in amputees patients was 7.2%. Conclusions: In the population studied the time evolution of hyperglycemia as well as neuropathic and vascular factors that predispose to the formation of recurrent ulcers are directly and significantly correlated with the probability of amputation. Key words: Diabetes mellitus, diabetic foot amputation, risk factors for amputation, diabetic foot ulcers
Research work carried out in patients diagnosed with diabetic admitted for amputation in the service of Surgery at "Federico Bolaños Moreira" Hospital IESS Milagro from 2012 until 2014. Aims: To determine and evaluate clinical and epidemiological factors that are associated with risk of amputation. Material and Methods: transversal, descriptive, and correlational study, based on the collection of information from medical records. Results: 111 cases that underwent amputation at least once. 76.57% (n = 85) were males, 23.4% (n = 26) were female, resulting in a male female ratio of 3.3: 1. The average age was 61.99 years (SD ± 9.05 years). The most common risk factor in the population of amputees was hypertension (64.86%). The mortality rate in amputees patients was 7.2%. Conclusions: In the population studied the time evolution of hyperglycemia as well as neuropathic and vascular factors that predispose to the formation of recurrent ulcers are directly and significantly correlated with the probability of amputation. Key words: Diabetes mellitus, diabetic foot amputation, risk factors for amputation, diabetic foot ulcers
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DIABETES MELLITUS, PIE DIABETICO, AMPUTACION, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL DEL IESS FEDERICO BOLAÑOS MOREIRA, CANTON MILAGRO, ECUADOR